Provider Demographics
NPI:1003311309
Name:MAYES, MEGAN E (NP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:MAYES
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:123 N MCCREARY ST
Mailing Address - Street 2:
Mailing Address - City:FORT BRANCH
Mailing Address - State:IN
Mailing Address - Zip Code:47648-1313
Mailing Address - Country:US
Mailing Address - Phone:812-753-1039
Mailing Address - Fax:812-450-6822
Practice Address - Street 1:8600 N KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725
Practice Address - Country:US
Practice Address - Phone:812-492-5055
Practice Address - Fax:812-402-9857
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-11-09
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Provider Licenses
StateLicense IDTaxonomies
IN71008042A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner